How is prolapse severity measured and graded?
Prolapse severity is measured using physical examination and specific grading systems such as the POP-Q (Pelvic Organ Prolapse Quantification) system, which classifies how far the prolapsed organ has descended into or beyond the vagina.
Detailed Medical Explanation
The main grading systems for prolapse are the POP-Q system and the simpler Baden-Walker system. POP-Q uses precise measurements in centimetres to describe the descent of pelvic organs relative to the vaginal opening, resulting in stages 0 (no prolapse) to 4 (complete eversion). The system allows clinicians to track changes over time and tailor treatment. Accurate grading is important for planning care and comparing outcomes. (RCOG Green-top guideline | NHS: Diagnosis)
Clinical Context
Assessment is usually done with a pelvic exam during straining or bearing down. Some cases may need imaging for complex or recurrent prolapse. Grading helps guide management and monitor progress.
Evidence-Based Approaches
Standardised grading systems like POP-Q are recommended by NICE and RCOG for accurate diagnosis and research. Always seek specialist assessment for tailored management. (NICE NG123)